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BUYER REGISTRATION FORM:

In order to have registered access to our acquisition opportunities, please complete the following form. Once we have received your form, we will review the information, email you confirmation and give you access to our current offerings.

* REQUIRED.

Company /Group Name:

Website:

Buyer Type:

Reffered By:

Country:

Have you ever purchased a business? :

If yes, how many have you purchased in the last 5 years? :

Primary Contact		Secondary Contact


First Name:	*	First Name:

Last Name:	*	Last Name:

Title:	*	Title:

Direct Phone:	*	Direct Phone:

Fax:	*	Fax:

E-mail:	*	E-mail:

State:	*	State:

Zip:	*	Zip:

General Investment Criteria


Preferred Regions :

Preferred Sectors :

General Comments :

Financial Criteria


Revenue :	Min :	Max :

EBITDA :	Min :	Max :

Enterprise Value :	Min :	Max :